两年多来,作者应用额肌瓣悬吊治疗先天性重度上睑下垂,或曾作提上睑肌缩短术失败的上睑下垂者12例,取得了较好的效果,现报告如下。临床资料本组12例15支眼(其中9例为单侧上睑下垂)均为先天性上睑下垂,其中男性9例,女性3例,年龄13～57岁。最长随访24个月,最短2月。除近期施术1例稍有上睑闭合不全外,其余各例效果均较满意。手术步骤一、术前用龙胆紫或美蓝标出睑缘切口线,用虚线标出眶上神经血管的体表投影,在此投影外侧约0.5cm划出额肌瓣设计线。 Over the past two years, the authors applied frontal muscle flap suspension for the treatment of congenital severe ptosis, or had failed to make the levator palpebraeplasia in 12 cases, and achieved good results, are as follows. Clinical data The group of 12 patients with 15 eyes (including 9 cases of unilateral blepharoptosis) are congenital blepharoptosis, including 9 males and 3 females, aged 13 to 57 years. The longest follow-up 24 months, the shortest in February. In addition to the recent operation of a case of a slight upper eyelid closure, the remaining cases were more satisfactory results. Surgical procedures First, with gentian violet or methylene blue preoperative eyelid incision line marked with dashed lines on the supraorbital nerve vessels surface projection, projection of the outer side of the projection of about 0.5cm muscle flap design line.